| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $160.51 | $355.99 | $355.99 | |
Aetna
| Professional | $158.91 | $158.91 | $160.51 | |
Anthem BCBS
| Facility | $166.87 | $317.83 | $476.76 | |
Anthem BCBS
| Professional | $135.08 | $158.91 | $219.30 | |
CareSource
| Facility | $158.91 | $158.91 | $238.38 | |
CareSource
| Professional | $158.91 | $158.91 | $190.70 | |
Cigna
| Facility | $158.91 | $158.91 | $158.91 | |
Cigna
| Professional | $139.51 | $158.91 | $407.91 | |
United
| Professional | $79.45 | $158.91 | $212.29 |